| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
136 |
135 |
$750.60 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
42 |
38 |
$111.01 |
| 0002A |
|
69 |
69 |
$0.00 |
| 0003A |
|
68 |
68 |
$0.00 |
| 91322 |
|
78 |
78 |
$0.00 |
| 0054A |
|
43 |
43 |
$0.00 |
| 0124A |
|
57 |
57 |
$0.00 |
| 90756 |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
259 |
259 |
$0.00 |
| 90686 |
|
162 |
162 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |
| 90480 |
|
78 |
78 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
48 |
48 |
$0.00 |
| 0001A |
|
68 |
68 |
$0.00 |